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The Usability of an Online Tool to Promote the Use of Evidence-Based Smoking Cessation Interventions

Author

Listed:
  • Daniëlle N. Zijlstra

    (Department of Health Promotion, Maastricht University/CAPHRI, Peter Debyeplein 1, 6229 HA Maastricht, The Netherlands)

  • Catherine A. W. Bolman

    (Department of Psychology, Open University of the Netherlands, Valkenburgerweg 177, 6419 AT Heerlen, The Netherlands)

  • Jean W. M. Muris

    (Department of General Practice, Maastricht University/CAPHRI, Peter Debyeplein 1, 6229 HA Maastricht, The Netherlands)

  • Hein de Vries

    (Department of Health Promotion, Maastricht University/CAPHRI, Peter Debyeplein 1, 6229 HA Maastricht, The Netherlands)

Abstract

To increase usage of evidence-based smoking cessation interventions (EBSCIs) among smokers, an online decision aid (DA) was developed. The aims of this study were (1) to conduct a usability evaluation; (2) to conduct a program evaluation and evaluate decisional conflict after using the DA and (3) to determine the possible change in the intention to use EBSCIs before and directly after reviewing the DA. A cross-sectional study was carried out in September 2020 by recruiting smokers via the Internet ( n = 497). Chi-squared tests and t -tests were conducted to test the differences between smokers who differed in the perceived usability of the DA on the program evaluation and in decisional conflict. The possible changes in intention to use EBSCIs during a cessation attempt before and after reviewing the DA were tested using t -tests, McNemar’s test and χ 2 analysis. The participants evaluated the usability of the DA as moderate (MU; n = 393, 79.1%) or good (GU; n = 104, 20.9%). GU smokers rated higher on all the elements of the program evaluation and experienced less decisional conflict, but also displayed a higher intention to quit. After reviewing the DA, the participants on average had a significantly higher intention to use more EBSCIs, in particular in the form of eHealth. Recommendations to make the DA more usable could include tailoring, using video-based information and including value clarification methods. Furthermore, a hybrid variant in which smokers can use the DA independently and with the guidance of a primary care professional could aid both groups in choosing a fitting EBSCI option.

Suggested Citation

  • Daniëlle N. Zijlstra & Catherine A. W. Bolman & Jean W. M. Muris & Hein de Vries, 2021. "The Usability of an Online Tool to Promote the Use of Evidence-Based Smoking Cessation Interventions," IJERPH, MDPI, vol. 18(20), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10836-:d:656999
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    References listed on IDEAS

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    1. Kei Long Cheung & Inga Schwabe & Michel J. L. Walthouwer & Anke Oenema & Lilian Lechner & Hein De Vries, 2017. "Effectiveness of a Video-Versus Text-Based Computer-Tailored Intervention for Obesity Prevention after One Year: A Randomized Controlled Trial," IJERPH, MDPI, vol. 14(10), pages 1-13, October.
    2. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    3. Nicola E Stanczyk & Eline S Smit & Daniela N Schulz & Hein de Vries & Catherine Bolman & Jean W M Muris & Silvia M A A Evers, 2014. "An Economic Evaluation of a Video- and Text-Based Computer-Tailored Intervention for Smoking Cessation: A Cost-Effectiveness and Cost-Utility Analysis of a Randomized Controlled Trial," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-14, October.
    4. Bier, I.D. & Wilson, J. & Studt, P. & Shakleton, M., 2002. "Auricular acupuncture, education, and smoking cessation: A randomized, sham-controlled trial," American Journal of Public Health, American Public Health Association, vol. 92(10), pages 1642-1647.
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